Wireman Counseling Innovations LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301010207 Issued in MI

Legal business name

WIREMAN COUNSELING INNOVATIONS LLC

Practice address

914 Airport Rd
Jackson, MI 49202-1850

Phone

(517) 499-2976

NPI assigned

Mar 28, 2018

Last updated

Mar 28, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Beth Houpt

Title

Credentialing

Phone

(517) 676-9788

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly A Olmsted, LMSW

  • Clinical Social Worker
  • Adrian, MI
  • NPI 1215643176
  Medicare reassignment NPD
• Leslie Mae Wireman, LLP

  • Clinical Psychologist
  • Jackson, MI
  • NPI 1417084849
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1275038523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 AIRPORT RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021850",
            "telephone_number": "517-499-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIREMAN COUNSELING INNOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "HOUPT",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "517-676-9788"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301010207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Wingart
• Josh Winkel
• Lora Winowiecki, MS,RD
• Clarissa Angelina Winters, CPSS
• Michelle Winters
• Leslie Mae Wireman, LLP
• Taylor Marie Wireman
• Wise Home Care Services LLC
• Terra L Wiseley
• Justin Pok Wisely, MD

• Psychologist in Jackson, MI
• Providers in Jackson, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.